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Journal : Jurnal NERS

The Development of Model Family-Centered Empowerment on Caring for Children with Leukemia Yuni Sufyanti Arief; Nursalam Nursalam; I Dewa Gede Ugrasena; Shrimarti Rukmini Devy; Eileen Savage
Jurnal Ners Vol. 13 No. 1 (2018): April 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (156.051 KB) | DOI: 10.20473/jn.v13i1.7774

Abstract

Introduction: Children with leukemia desperately need serious attention, commitment and it is a hard struggle for family members. Powerlessness experienced by the family will affect the ability of the families to provide care for their children. Many factors can affect the empowerment of families in providing care to their families.Methods: The purpose of this study was to develop a family-centered empowerment model related to the family's ability to care for their child suffering from leukemia. The research design used was an explanation survey. The sample consisted of 140 families with children suffering from leukemia in the pediatric ward of Dr. Soetomo Hospital.Results: The family-centered empowerment model was formed from the family factor, patient factor and nurse factor. The greatest effect was on the nurse factor, with the T statistic value = 6.590.Conclusion: Family factors and nurse factors need to be taken into account in family-centered empowerment. The patient factor has little influence on family empowerment in relation to caring for children. More research is needed on family-centered empowerment models in relation to their ability to care for children with leukemia. For example, a nurse providing a nursing intervention, especially a pediatric nurse, in relation to empowering a parent at the time of caring for their child with leukemia.
Knowledge, Family Support and Self-Reliance Capital when Caring for Low Birth Weight Babies Erlina Suci Astuti; Nursalam Nursalam; Shrimarti Rukmini Devy; Risa Etika
Jurnal Ners Vol. 14 No. 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (254.119 KB) | DOI: 10.20473/jn.v14i1.12734

Abstract

Introduction: Low birth weight (LBW) infants are very susceptible to illness.LBW treatment with the principle of preventing infection is very important athome. The purpose of this study was to determine the relationship betweenmaternal knowledge and family support with the prevention of infection at home.Methods: This study used a correlation design. The samples were 160 motherswho had low birth weight infants with inclusion criteria mothers give birth tobabies weighing less than 2,500 grams with ages 0-2 months. The samples wereobtained through purposive sampling. The dependent variable was the mother'sability to prevent infection while the independent variable was the mother'sknowledge and family support. The instruments used were questionnaires. Thisresearch analyzed using Spearman Rho.Results: The results showed that there was a strong correlation betweenknowledge and the ability to prevent infection in treating low birth weight (r =0.696; p = 0.00) and that there was a moderate correlation between familysupport and infection prevention ability when treating a low birth weight (r =0.54. p = 0.000).Conclusion: Factors of maternal knowledge about infection prevention andfamily support need to be considered in increasing the ability of mothers to carefor babies with LBW. The factor of maternal knowledge about prevention ofinfection has a strong correlation value when compared to family support factors.Further research is needed on the model of increasing maternal knowledge aboutLBW infants during home care. 
The Effect of Health Promotion Model and Self Determination Theory Based Intervention on Anemia Prevention Behavior and Haemoglobin Level in Pregnant Women Mira Triharini; Agus Sulistyono; Merryana Adriani; Shrimarti Rukmini Devy
Jurnal Ners Vol. 14 No. 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (378.664 KB) | DOI: 10.20473/jn.v14i1.15213

Abstract

Introduction: Anemia during pregnancy has an impact on pregnancy and fetus. The low status of prenatal iron in pregnant women may also affect neurodevelopment and behavior in children. Many pregnant women still do not have good behaviors in preventing anemia. The objective of the study was to analyze the effect of Health Promotion Model and Self Determination Theory Based Intervention on anemia prevention behaviors and haemoglobin level in pregnant mothers.Methods: This research was a quasi-experiment research with a pre- and post-test using a control group design. The samples were 30 pregnant women who did antenatal care in Community Health Center of Tanah Kali Kedinding Surabaya. Data were collected using questionnaires, food recall in 2x24 hours, and haemoglobin level examination using the cyanmethaemoglobin method.Results: There was an effect of Health Promotion Model and Self Determination Theory Based Intervention to anemia prevention behaviors and haemoglobin level (p = 0.013; p = 0.040).Conclusion: Health Promotion Model and Self Determination Theory Based Intervention improve the anemia prevention behaviors and haemoglobin level. Health workers can use Health Promotion Model and Self Determination Theory Based Intervention to improve anemia prevention behavior
Determinants of Drug Adherence on Grade Two and Three Patients with Hypertension Riza Fikriana; Shrimarti Rukmini Devy; Ahsan Ahsan; Al Afik
Jurnal Ners Vol. 14 No. 2 (2019): OCTOBER 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v14i2.16531

Abstract

Background: Compliance for taking medication to become an important thing for a patient with hypertension. Compliance is needed to control blood pressure and prevent complication. The purpose of this study was to analyse the factors that influence patients adherence to taking medicine.Method: The study design was observational analytic using a cross-sectional approach. Samples were 225 patients with hypertension class 2 and 3, in Malang district, Indonesia. The sampling technique was done by using a multistage random sampling technique. The research instrument was in the form of a questionnaire. Data analysis was performed using the Pearson test and linear regression.Results: The results showed that patients adherence in taking medicine was 32.9% for the low category, 51.1% in the medium category and 16% in the good category. Factors influencing the adherence were ages (p-value: 0.002), turning to religion (p-value: 0.011), gender (p-value: 0.016) and suppressing competition activities (p-value: 0.063).Discussion: Demographic characteristics and focused emotional mastery influence taking the medication in patients with grade 2 and grade 3 hypertension. Strengthening coping strategies with transporting to coping emotions becomes very important to discuss in patients with grade 2 and grade 3 hypertension, so that adherence to hypertension is needed will be able to control blood pressure and prevent complications.
Analysis of Sociodemographic and Information Factors on Family Behaviour in Early Detection of High-Risk Pregnancy Ika Mardiyanti; Shrimarti Rukmini Devy; Ernawati Ernawati
Jurnal Ners Vol. 14 No. 2 (2019): OCTOBER 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (293.303 KB) | DOI: 10.20473/jn.v14i2.16561

Abstract

Introduction: Pregnancy and childbirth are physiological processes experienced by women, but they sometimes have risky conditions. There are still many pregnant women and their families who are unable to detect a high-risk of pregnancy early. This study aims to determine family behaviour in conducting early detection of a high-risk of pregnancy in terms of sociodemographic and information factors.Methods: This study uses an explanatory survey design with a cross sectional design. The sample size of this study was 146, with simple random sampling. The independent variables were sociodemographic factors (age, gender, ethnicity, education, income and religion) and information factors (experience, and media exposure) while the dependent variable is family behaviour. The instrument with the questionnaire used the Likert scale. The data was analysed using partial least square.Results: The results showed that Structural Equation Modelling-Partial least square (SEM-PLS) statistical analysis, through Confirmatory Factor Analysis (CFA), obtained sociodemographic factors on family behaviour of 1,999, and information factors on family behaviour of 13,78. The value of the influence of sociodemographic factors (0.102) and the value of the influence of information factors (0.754). R2 (0.63) and Q2 value of 0.65.Conclusion: Sociodemographic  factors and information factors significantly influenced family behaviour factors in early detection of high-risk of pregnancy. Information factors have a greater effect on family behaviour than sociodemographic factors. Midwives as health service providers at the health care centre need to optimize family empowerment through health information efforts in health promotion efforts. Further research requires the involvement of other factors to improve family behaviour, especially in the ability of families to detect early high-risk pregnancies.